Impingement of the shoulder can be treated non-surgically via stretching, resting, physical therapy and/or localized cortisone injections. Treatment may take several weeks to months. Many patients experience a gradual improvement and return to function.
In cases of surgery, it typically takes two to four months to achieve complete relief of pain, and may take up to a year for the shoulder to heal completely. Are you considering this surgery yourself?
yes, as a last resort I dont want to have to put up with flare ups everytime I overdo it. I have tried every treatment so far bar surgery ! I need to work and at the moment It is impossible just driving is hard enough.
I have had a cortisone injection but that didnt go to well, it actually made it worse for the first week after, I still dont think it made much difference.
anyway I am seeing a exercise physiologist soon and hopefully he can help exercise the problem away by stabilising the scapular muscles.
whats annoying is it seems to get better, but it only lasts for about a week and then it flares up again, Ive had this going on for about 5/6 mths now.
Right --- it sounds like you simply need rest or shoulder training. I'm sorry to hear of your discomfort. I would also ask your exercise physiologist what s/he thinks of practices for the joints like yoga, tai chi or qi gong. As I understand, these exercises routines can be very helpful. When's your appointment?
thanks for your post!
My appointment was yesterday, they gave me stretching exercise to do plus weight exercises 1kg this went ok , I was a bit sore that night and abit tender this morning. I was given homework to do for this week untill i see them again next tuesday. They advised it is possible I could have flare ups and to try and find a happy medium but in the long term they think it will settle and go away.
I had thought about pilates in the future as an overall maintenance program to help avoid this from coming back. I was a bit weary about this before when the flare ups were constant but will defiently be doing some kind of overall body stretching program like pilates,yoga etc. I was also told when you have an injury like this exercise and stretching needs to be done for life to avoid it coming back.
yes, I am still doing the weekly session supervised and each week they get me to do more reps started with 10 reps per machine now I am doing 2 sets of 10 reps with a rest inbetween .. I also have homework doing weight exercises and stretching excercises... I have been just about fully pain free get the occassional niggles after heavy use but It seems to be working really well ...I am starting to feel as if my arm is normal again I forgot what that felt like ... so I am really pleased with the progress best thing I ever did...First thing I noticed that was different was I was getting alot of popping sensation in arm and shoulder etc felt weird , but It felt alot looser and free afterwards ,sorry hard to explain , my exercise instructor told me that it was probably the tendons releasing and moving back into the correct position and moving off the nerves etc .. and that is probably why I am getting relief now from the uncomfortable sensations I was experiencing before...so to make a long story short exercise is working...
When someone stated that a patient should do "10 reps per machine", that means that the patient should perform 10 repetitions on each machine. Each machine could mean do 10 knee extensions on the knee weight machine, then 10 squats, on the squat machine, and so forth.
I have been under busitis/tendonitis for about 14months now. Unfortunately I may have gotten delayed healing from inadequate physio providers who used me rather than admit they knew what they were doing.
I saw a good provider in Sydney,spam unapproved called Joel Werman, really good shoulder physio, and a great surgeon/specialist is Dr Allan Young. Both are in North Sydney,spam unapproved if anyone is looking.
Joel only took 8 visits to get me on track, I am about 60% better, but still have flare-ups if I over do it. So unfortunately dont know if it is a combination of things such as posture, overhead reaching, adhesions/scar tissue around the shoulder/back/scapula restricting internal muscles and allowing tendons to hit bone in the shoulder.
MRI states there is some inflamation but onlyu a very minor internal tear of the suprspinatus. Surely that cant be causing these pain symptoms still?
I am considering trying Active Release Therapy as there is nothing structuraly wrong with my shoulder but the problem is painstakingly hanging around!
I have been diagnosed with bursitis i had a pain in my should that wasnt a horrific pain but it always seem to come back after doing my normal things. It started hurting at work so i told my manager he sent me to the doctor and the doctor said it was ac sprain and everyting he told to do and perscribe didnt work. This was goin on for around 4 mounths till he finaly sent me to a specialist and he diagnosed me with bursistis. He gave me a different type perscription and it seems to work but ass i run out i can feel the pain almost building up again. He might give me a cortisone shot can this shot heal me completely or is it jus a brief anti inflammation? This has been going for around 6 to 7 mounths now does tnis injury ever completely heal?
As bursitis is an inflammatory condition, it will usually respond to anti-inflammatory medication. As you noted, when you do not take the medication, the discomfort returns.
The cortisone injection may take care of the problem once and for all, but it also may only be temporary.
Every patient is different and reacts to treatment differently. In some, a onetime injection takes care of the problem. While in others, it may take a series of injection, along with the oral anti-inflammatories, to control the problem. And even then, the patient may have occasional flare of the problem.
Inflammatory conditions (bursitis, tendonitis, arthritis, etc - 'itis means inflammation of) can become chronic problems. Especially if the condition was initially brought on by improper biomechanics. If the improper activities are not modified or eliminated, usually the condition will not completely resolve.
looking for some thoughts here. lately when I have been throwing a baseball or softball I have been getting a quick sharp pain in my shoulder. It only happens when I am throwing with some velocity and then goes away. I can have a causal catch and it does not bother me at all. Doesn't hurt at all beside when throwing so I'm kinda leaning towards possibility of shoulder tendonitis. but I'm still a little nervous it may be more serious and I play a lot of baseball during the next couple of months. If you have any insight please help me out thanks.
It is a bit concerning that you only have the pain when throwing. In throwing athletes, when this is the presenting symptom, the concern is for a stretched out posterior capsule and ligaments. This allows the joint to sublux just a little, causing pain.
But, the only way to know would be to have a good exam of the shoulder. Since you are an athlete and want to continue to play, you should see an orthopedic surgeon who is fellowship trained in sportsmedicine. (Not a primary care physician who is a medical sportsmedicine specialist.) You need to see an orthopedic surgeon.
If you cannot see a sportsmedicine specialist, see if you can find an orthopod trained in shoulder/elbow surgery, or one fellowship trained in arthroscopy.
It will take a very careful and thorough evaluation of your shoulder to pick up what exactly is going on. There are actually a lot of things it could be, but the posterior capsule stretching is the biggest concern.
Hi everyone, I was just diagnosed with a sub-acrominal bursitis in the shoulder with probable tendinitis. Has PT and was improving the amplitude of movement with electrical stimulation and massage after 5 sessions over 3 weeks, that was 4 months ago. I stopped to get an accurate diagnosis to make sure I was on the best track.
By now I've had an MRI and echography, and opted for more PT before doing any injections.
The PT is fairly aggressive as he pushes to get a little more amplitude, but after 4 sessions my range of motion is REDUCED and I've now got pain while inactive, whereas before it was only if I overextended or reached upward or behind my back.
Problems sleeping, and I need paracemerol with codine before bed.
I decided to stop everything, and just stick with ice packs and the anti-imflammatory gel at night for a couple of weeks.
Anybody got their conflict/Bursitus under control after a bad flareup? Able to play any sports?
(I play tennis and stopped serving overhead or over extending, and use 2 handed strokes now)
Thanks for sharing...